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    Nur 150 Session 3 Stoma Care

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    The document discusses stoma care and ostomy management. It provides multiple choice questions about appropriate nursing actions for clients with different types of ostomies (e.g. colostomy, ileostomy, urostomy). The questions cover topics like common underlying conditions requiring ostomy surgery, appropriate ostomy appliances, and best practices for stoma irrigation and assessing changes in ostomy output.

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    Nur 150 Session 3 Stoma Care

    Uploaded by

    Beg
    324 views6 pages
    The document discusses stoma care and ostomy management. It provides multiple choice questions about appropriate nursing actions for clients with different types of ostomies (e.g. colostomy, ileostomy, urostomy). The questions cover topics like common underlying conditions requiring ostomy surgery, appropriate ostomy appliances, and best practices for stoma irrigation and assessing changes in ostomy output.

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    NUR-150-SESSION-3-STOMA-CARE

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    The document discusses stoma care and ostomy management. It provides multiple choice questions about appropriate nursing actions for clients with different types of ostomies (e.g. colostomy, ileostomy, urostomy). The questions cover topics like common underlying conditions requiring ostomy surgery, appropriate ostomy appliances, and best practices for stoma irrigation and assessing changes in ostomy output.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    324 views6 pages

    Nur 150 Session 3 Stoma Care

    Uploaded by

    Beg
    The document discusses stoma care and ostomy management. It provides multiple choice questions about appropriate nursing actions for clients with different types of ostomies (e.g. colostomy, ileostomy, urostomy). The questions cover topics like common underlying conditions requiring ostomy surgery, appropriate ostomy appliances, and best practices for stoma irrigation and assessing changes in ostomy output.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 6

    NUR 150 - SESSION 3 - STOMA CARE

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    MULTIPLE CHOICE QUESTIONS

    Nurse Max is caring for a client with permanent / end colostomy and is now for his
    first-time irrigation. Then suddenly, the client verbalizes, “I feel like that there is a
    train inside my tummy!!” What is the highest priority nursing action that nurse Max
    should undertake?

    Reassure that the client is in good hand and continue with the irrigation.

    Render therapeutic communication and allow the client to verbalize his feelings.

    Render therapeutic touch and turn the regulator off to allow the patient to rest.

    Notify the primary healthcare provider.

    Clear selection
    The common underlying conditions resulting in the need for stoma surgery are:
    (Select all that apply.)

    Crohn’s disease

    Celiac disease

    Colorectal cancer

    Clostridium difficile infection

    Bladder cancer

    Gynaecological cancers

    It is an ostomy pouch system designed for clients who usually develop sore and
    skin irritation.

    One-piece system

    Two-piece system

    Three-piece system

    Four-piece system

    Clear selection
    It is a surgical procedure that brings one end of the large intestine out through the
    abdominal wall and during this procedure, one end of the colon is diverted through
    an incision in the abdominal wall to create a stoma.

    Ileostomy

    Gastrostomy

    Colostomy

    Urostomy

    Clear selection

    Nurse Max is caring for a client with ileostomy and noticed that the effluent is
    loose. What action that Nurse Max should undertake?

    Assess the vital signs including temperature, respiratory rate, pulse rate, blood
    pressure and oxygen saturation.

    Administer lactulose 30 mL STAT.

    Notify immediately this pertinent data to the primary healthcare provider.

    Observe and document the characteristics and consistency.

    Clear selection
    What is the highest priority nursing action for a client with a urostomy/ ileal conduit
    prior to discharge?

    Restoring sexual health and intimacy.

    Strengthening the linkages to the community health facility.

    Preparing the client for advance directives.

    Promoting independency and self-care.

    Clear selection

    Water-soluble lubricant is preferred to be used during the insertion of the cone to


    the stoma during irrigation. What is the reason behind this?

    It has an antiseptic or bactericidal effect in the stoma.

    It eases the friction and thus helps with a smooth insertion of the cone.

    It helps not to cause borborygmi sound

    It numbs the area and thus helps with a smooth insertion of the cone.

    Clear selection

    Below are the types of ostomies. Select all that apply.

    Urostomy

    Percutaneous Endoscopic Gastrostomy

    Colonoscopy

    Ileostomy

    Colostomy
    Encourage the client to ambulate prior to detaching the irrigation sleeve/sheath.
    What is the clinical reasoning for this action?

    Ambulation stimulates peristaltic movement and completion of the irrigation return.

    Ambulation aids during cramping.

    Ambulation stops the tenderness around the stoma.

    Ambulation prevents the proliferation of pathogenic bacteria

    Clear selection

    What type of appliance is best for clients with large bowel ostomy?

    Open appliance

    Closed appliance

    Drainable appliance

    Urostomy appliance

    Clear selection

    A copy of your responses will be emailed to the address you provided.

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